Organization
SETON ENT
Active
Other names
Childrens Ear Nose & Throat Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA L HARVEY (BILLING MANAGER)
(512) 324-8617
Entity
Organization
Contact information
Practice address
601B LEAH AVE, SAN MARCOS, TX 78666-7849
(512) 452-0231
Mailing address
3705 MEDICAL PKWY, SUITE 200, AUSTIN, TX 78705-1019
(512) 452-0231
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280494406
—
TX
05
—
284094401
—
TX
05
—
284094402
—
TX
05
—
284094403
—
TX
05
—
284094404
—
TX
05
—
284094405
—
TX
Enumeration date
12/06/2010
Last updated
02/18/2013
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